Active NPI
Allison M. Clark, MSPT
- Physical Therapist
- Matthews, NC
National Provider Identifier
1306087119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 017564-1
- Practice address
- 211 W. Matthews St.
Matthews, NC 28105 - Phone
- (704) 846-0262
- Fax
- (607) 746-6373
- NPI assigned
- Mar 9, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 017564-1 | NY | Primary |
Addresses
Primary practice location
211 W. Matthews St.
Matthews, NC 28105
Mailing address
1173 Running Brook Rd.
Midland, NC 28107
Phone (704) 787-0515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702857600000",
"number": "1306087119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1173 RUNNING BROOK RD.",
"city": "MIDLAND",
"state": "NC",
"postal_code": "28107",
"telephone_number": "704-787-0515",
"fax_number": "607-746-6373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 W. MATTHEWS ST.",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "28105",
"telephone_number": "704-846-0262",
"fax_number": "607-746-6373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "ALLISON",
"middle_name": "M.",
"name_prefix": "Mrs.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-09",
"last_updated": "2023-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "017564-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Matthews, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.